This is a talk that given at the NSW Emergency Medicine Wellbeing day. I talked about the "importance of prioritising wellbeing" illustrated through the trials and tribulations of my lengthy, yet fruitful training journey - which included basic surgical training, international research, and emergency medicine specialist training.. plus a whole lot of adventure, fun and despair! The aim was to provide some hope, inspiration, and tips for those who are inclined to take the path less travelled!
Wellbeing and mentorship - SRMO Orientation Feb 2020Bishan Rajapakse
This talk was part of the orientation for Senior Resident medical officers (SRMOs) working in at Shellharbour ED. The idea behind the talk was to convey the importance of wellbeing for quality patient care, workforce sustainability, and creating a workplace culture that we want to nurture and be proud of!
Em consultants wellbeing talk Dr Bishan Rajapakse & Dr Hughes MakoniBishan Rajapakse
This is a talk given for the ISLHD Wellbeing week for JMOs on 16th September 2019 - Two emergency Physicians sharing their experiences and tips with maintaining wellbeing whilst working in medicine.
A talk given to at the ACEM (Australasian College of Emergency Medicine) pre-congress workshop for the Annual Scientific Sessions in Hobart, Tasmania 2019.
These are reflections and tips shared by Dr Bishan Rajapakse, an Integrative, Academic, Emergency Physician, along his towards "prioritizing wellbeing" in the first 12 months of working as an Emergency Medicine Specialist in NSW, Australia.
Bishan is an EM Fellow with ACEM and a committee member of the Global Emergency Care committee (GECCo), as well an advocate fo Mental Health and researcher in doctor wellbeing.
Presentation delivered by LPP at the Sport Minds event on 6 October 2015. The presentation focuses on sport coaches and support staff and their role in mental health.
Wellbeing and mentorship - SRMO Orientation Feb 2020Bishan Rajapakse
This talk was part of the orientation for Senior Resident medical officers (SRMOs) working in at Shellharbour ED. The idea behind the talk was to convey the importance of wellbeing for quality patient care, workforce sustainability, and creating a workplace culture that we want to nurture and be proud of!
Em consultants wellbeing talk Dr Bishan Rajapakse & Dr Hughes MakoniBishan Rajapakse
This is a talk given for the ISLHD Wellbeing week for JMOs on 16th September 2019 - Two emergency Physicians sharing their experiences and tips with maintaining wellbeing whilst working in medicine.
A talk given to at the ACEM (Australasian College of Emergency Medicine) pre-congress workshop for the Annual Scientific Sessions in Hobart, Tasmania 2019.
These are reflections and tips shared by Dr Bishan Rajapakse, an Integrative, Academic, Emergency Physician, along his towards "prioritizing wellbeing" in the first 12 months of working as an Emergency Medicine Specialist in NSW, Australia.
Bishan is an EM Fellow with ACEM and a committee member of the Global Emergency Care committee (GECCo), as well an advocate fo Mental Health and researcher in doctor wellbeing.
Presentation delivered by LPP at the Sport Minds event on 6 October 2015. The presentation focuses on sport coaches and support staff and their role in mental health.
Best E-Poster Winner at TheMHS Conference 2014themhs
"Introducing New Conversations:
The Hearing Voices Recovery Support Group"
By: Specialist Rehabilitation Service - Northern Sydney Local Health District, Mental Health, Drug & Alcohol
Authors: S Higgins, K Priddle, A Blackham
How to make the most of your internship, a lecture targeting the graduating students that are about to start there clinical internship (or externship). the lecture provide tips and advice to help benefit the most from the internship period.
Wellbeing talk for intern orientation week. ISLHD (Illawarra Shoalhaven Local Health District) presented by Dr Bishan Rajapakse (Emergency Physician, FACEM, PhD) and Dr Skye Macleod (Emergency Fellow /UOW lecturer) - an informal and exploratory talk about strategies for maintaining and promoting wellbeing in the challenging healthcare area of modern medicine
Best E-Poster Winner at TheMHS Conference 2014themhs
"Introducing New Conversations:
The Hearing Voices Recovery Support Group"
By: Specialist Rehabilitation Service - Northern Sydney Local Health District, Mental Health, Drug & Alcohol
Authors: S Higgins, K Priddle, A Blackham
How to make the most of your internship, a lecture targeting the graduating students that are about to start there clinical internship (or externship). the lecture provide tips and advice to help benefit the most from the internship period.
Wellbeing talk for intern orientation week. ISLHD (Illawarra Shoalhaven Local Health District) presented by Dr Bishan Rajapakse (Emergency Physician, FACEM, PhD) and Dr Skye Macleod (Emergency Fellow /UOW lecturer) - an informal and exploratory talk about strategies for maintaining and promoting wellbeing in the challenging healthcare area of modern medicine
LTC Lunch and Learn: Prevention & Effective Interventions in Frailty, 6 May 2015NHS Improving Quality
LTC Lunch and Learn: Prevention & Effective Interventions in Frailty, 6 May 2015 with Helen Lyndon, Nurse Consultant Older People, Clinical Lead Frailty, NHS England
Prevention and Intervention for Frailty
Wednesday 6th May 2015
Hosted by Beverley Matthews, Long Term Conditions Programme Lead, NHS Improving Quality and Helen Lyndon, Nurse Consultant Older People, Clinical Lead Frailty NHS England. Learning outcomes will include:
Understanding the preventable components of frailty
Understanding how clinicians can support people to prevent and delay the adverse effects of frailty
Understanding what interventions are effective across the frailty trajectory.
- See more at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/long-term-conditions-improvement-programme/webinar-series/previous-webinars.aspx#sthash.0uO8KBsy.dpuf
This summer, as co-founder and immediate past chair of the APA Caucus on Global Mental & Psychiatry (GMH), I had the opportunity to promulgate the GMH movement in two countries – Bulgaria and Brazil (see Di Nicola, 2012).
This is my brief comparative report published in the September 2017 issue of the Global Mental Health & Psychiatry Newsletter of the Washington Psychiatric Society, Volume III, Issue 3: 4-5.
Learn how powerful movement is in the prevention and management of disease. Tackle the basics and learn how to develop a program of sustainable physical activity in your life.
Jim Thomas, Programme Head for Workforce Innovation, Skills for Care
Jim Thomas is the Programme Head for Workforce Innovation at Skills for Care. He leads on activity for new types of working for mental health and learning disabilities. Mr Thomas has led the recent review into a guide to workforce development for commissioners and employers looking at how to minimise the use of restrictive practices. This work has culminated in the publication of ‘Restrictive Practice Guide – Guidance for a Positive and Proactive Workforce’ published by the Department of Health in April 2014.
Marie Lovell, Project Manager , Skills For Care
Marie Lovell has worked on several projects in the workforce action learning programme, most recently on the recent guidance on… She has also worked on issues for the workforces supporting people with safeguarding, people who have autism and / or learning disabilities and the integrated workforce with health. All her work looks to advice on policies and help employers and trainers to make the changes needed. Before working for Skills for Care Ms Lovell was a trained nurse working for local authorities and for a national charity running daytime, residential and community support services
Joint Presentation Topic: “A Positive and Proactive Workforce” - Skills for Care Guidance, April 2014
Presentation at the SRMO weekly teaching for Shellharbour Hospital ED - by Dr Mahsa Fateminayyeri, MD - trainee, who covers an approach to sepsis in the ED setting, and highlights the value of a sepsis pathway to expedite antibiotic treatment and provide early resuscitation in order to promote good outcomes
Re-framing Failure into success - EM Fellowship OSCEBishan Rajapakse
This is an old talk given in 2018 about transforming exam failure into success, at the "ACE the OSCE" held at Westmead Sydney. It was a course for Emergency Physicians in training sitting the ACEM fellowship exam
This is a power point presentation describing the Shellharbour ED Mentorship program, describing the benefits, goals and expectations of mentorship in the department.
Phase 3 Med Student Orientation SHH ED - 22-07-22.pptxBishan Rajapakse
This is the orientation lecture given to the Phase 3 medical students rotating through the Shellharbour ED. These slides are to be for easy access for students and staff alike.
Shellharbour ED Orientation July 2022- expectations and aspirations overview Bishan Rajapakse
This was an Orientation talk for new doctors doctors working in Shellharbour ED - expectations and a framework for practice. Shellharbour is a lovely peripheral hospital ED situated in the coastal region of Illawarra NSW. We see >30,000 patients per year, with a broad and interesting range of acuity. Our staff is made up of an interesting mix of local and international doctors who embrace a small hospital team spirit, tackling large hospital problems. Our ED is a mixed adult and paediatric ED that is located 30 mins away from a fully serviced Tertiary hospital. We support ACEM Advanced training with a FACEM led department, supported by ACRRM and Senior CMOs in the medical leadership. The department is host to UOW Clinical Medical students, and subspecialty training term or ED Ultrasound. Our hospital is in the process of an upgrade to include short stay an ICU. The work is challenging but rewarding , and embraces the full mix of what a coast peripheral ED can hope to offer.
Paediatric Resuscitation in a Peripheral Hospital ED (6-12-2020)Bishan Rajapakse
Case presentation for regional Paediatric meeting - presents a case of critically ill 16 month old boy with sepsis. Case and case discussion presents the successful resuscitation of critically ill Paediatric patient, highlighting the associated challenges with being in a peripheral hospital setting.
A great tutorial from Dr Alistair Jones NHS medical educator (http://www.yorkshiremedicaleducation.co.uk/about-us) on ECG syndromes. Beyond the basics (but essential knowledge for training emergency physicians)
Presentation by Dr Jason Wu - resident in Critical Care at TWH, for the critical care journal club report findings of a paper by Kaukonen KM, et al. N Engl J Med. 2015 & update from the recent SMACC conference in Chicago #FOAMed #SMACC (http://www.ncbi.nlm.nih.gov/m/pubmed/25776936/)
The emergency and intensive care management of OP poisoning Bishan Rajapakse
This talk was given at the Wollongong Hospital Intensive Care departments registrar teaching session. The surprise ending video can be found on the following web page whilst scrolling to the bottom ... http://lifeinthefastlane.com/education/international-em/ I hope you enjoy. Comments on the presentation are welcome.
Thank you
This talk on "Fevers in Travellers" focusses history taking skills, diagnosis and treatment of Malaria and some other tropical disease that we may on rare occasions encounter in the urban ED environment of New South Wales. I would like to thank Dr Julian Chow, and his sources, for sharing this comprehensive talk on the topic, which was presented as part of the Wollongong Emergency Medicine registrar teaching program. We would welcome comments and further contributions on this topic.
Airway management in the Emergency Department for TraineesBishan Rajapakse
This is a power point presentation on Airway Management given by our deputy director in Emergency Medicine Training at the Wollongong Hospital, Paul Labana (consultant Emergency Physician) that presents a case illustrating difficulties in airway management and gives an overview of airway management in the emergency department. (Nb another video to do with airway management, and "airway exchange" can be found on this link http://youtu.be/6vaWNknIDQg) - thanks to Paul for sharing his educational material in the name of free open access meducation (#FOAMed)
Opthalmology in the ED - Dr Andrew White (June 2013)Bishan Rajapakse
This comprehensive overview of common ophthalmological presentations that ED registrars may encounter has been kindly shared by Dr Andrew White BMedSci(hons) MBBS PhD FRANZCO, Consultant Ophthalmologist, Westmead Hospital & Sydney Medical School (USyd)
An overview of the management of Rhabdomyolysis, put together for the weekly Emergency Medicine registrar teaching session at Wollongong Hospital ED. Information in the presentation is from both the journals and medicine 2.0 (and in particular "FOAMed" -the free open access medical education network that aims to improve sharing of medical education resources through the web). Enjoy. @trainthetrainer
This was a presentation given by the Vice Chancellor- Professor Ian Young the "Convergence Leadership" forum organised by AIESIC-ANU. It was a great welcome talk that started of what was to be an inspiring and educational day!
These are the slides for the presentation given on "Research and International Emergency Medicine" at the Global Health Drinks forum in Sydney on March 22nd 2012. (http://globalhealthdrinks.org/events/international-emergency-medicine/)
Organophosphate Poisoning Treatment - port headland doctor teaching (31-1-12)Bishan Rajapakse
This is an educational talk about the treatment of organophosphorus poisoning (OP) based upon a talk given at the Australasian college of Emergency Medicine, Annual scientific sessions Nov 2010, canberra. If you liked this presentation; please also check out this page created by one of my senior colleagues (and watch the video) :- http://curriculum.toxicology.wikispaces.net/2.2.7.4.5+Organophosphates
These slides are a collection of clinical cases seen in the Emergency Department presented for the purpose of doctor training and medical student education.
A presentation at the Australasian College of Emergency Medicine (ACEM) scientific sessions held in Sydney, November 2011. This talk was given during the International Emergency Medicine Track on the "International EM - a Trainee perspective"
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
The Art Pastor's Guide to Sabbath | Steve Thomason
1. the road less travelled prioritising wellbeing3
1. The road less travelled…
Prioritising Wellbeing
Dr Bishan Rajapakse
MBChB, PhD, FACEM
Emergency Physician (VMO) – Liverpool Hospital
Honorary Clinical Lecturer – University of Wollongong
Emergency Medicine Wellbeing Day – Jan 15th 2019 - Clovelly, Sydney
2. Why Wellbeing?
Topic close to my heart..
• Personal experience of Burnout
• Suicide of Friends
• Student/Doctor representative
• Detrimental to entire Healthcare
community
– More wellbeing better patient care
Vision - A kinder more compassionate
health care system
3. Overview
• Short Meditation exercise
• A short story of medical training (personal
journey through burnout and wellbeing,
toward balance)
• “Learned strategies” in Wellbeing
5. My educational Journey
– “the scenic route”
1997-2000 Exploring
the way (undecided)
2001-04 Completed
basic surgical training
2005-06 Transition to
Emergency Medicine
2006-10
Toxicology/Med
Education (Field work
6. PhD fieldwork - “Improving the emergency management of
OP poisoning through medical education & research” (2006
2010)
7. “Life is not a race.. But unfortunately
we live on a race course”
Always follow your dreams, as life is too
short to follow other peoples dreams
8. Part time ED
ACEM advanced training
2016 201820152010 2011
PhD
“Knowledge
translation”
Fellowship
FACEM
Sydney
POW
Swe
den
2013
Research: Part time Research
2012 2014
Full time ED
Part time ED
Wollongong - TWH
Full time
Research
Sydney
- Locuming in Aus
Liverpool
ED
Aubur
n
9. ….but what about the “back-story”
• Change of Specialty
• Relationships breakdowns
• Making Mistakes
• Exam Failures
• Bullying/bad behaviour
• Burnout/Crises; -
• Grief
– Family
– Friends
• Lots of travel
• Falling in Love
• Dance
• Music
• Community
balanced by many
sustaining positives
10. Key points of struggle
2004 End of surgical career
Asian Tsunami
2009 Field work stress
Publication, War-time,
Research, Time out
2010 Back to clinical work
Prince of Wales 2010 –EAP, time out for PhD
2012 Simultaneous EM training & PhD
Write up
Wollongong – (crisis) time out,
Dedicated year to completing thesis
2015 EM Training – Burnout post ICU
Wollongong, (urgent) time out
2017 Fellowship
Failed Written 2016.2, Failed OSCE 2017.2
2017/18 Broken ankle & faced ACEM dismissal
Proactive strategy, support, Wellbeing
11. Evolve your Wellbeing strategy!
Transforming “avoiding collapse”….
into
to “rest in order to do your best”
12. Crisis Management -practical steps..
• ED Department
– Consultant mentors
– Directors of Training/ Department
– Organised leave/ time out
• Hospital
– Employee Assistance Program (EAP)
• Psychologist
– Doctors health Advisory service (DHAS)
• External
– Good GP
– Family/Friends
– Community
– Coach
ED mentors
General
Practitioner
13. A few reflections on burnout
• It’s personal and
context specific
– Burnout is a continuum
• It’s common
– Subtle
– Under-recognized
Don’t buy into false
stigma
• Key Strategy
– Self-awareness: “Know
thyself”
– Self CARE
– Enlist help take action
• Build up
strength/resilience
• Take time “out of the fire”
15. Finding Purpose – know “your” Why?
• Take a break
• Gain inspiration
– Loved ones / mentors
• Know the “why”
– Re-visit it often
“Know thyself”
16. Platform for “Life”
Physical Health
- Rest
- Diet
- Excercise
Mental Health
- Healthy mindset
- Managing psycho
and emotional
trauma
Social Health
(relationships)
- with Self
- Partner
- Family
- Friends
- Community
CORE
• Purpose
• Inspiration
• Joy
LOVE
(unconditional)
Meditation
Physical Activity
Time in “nature”
“Time off”
Hobbies
Community
income
savings
invest-
ment
17. Build career – on top of “Life”
Images courtesy of Miranda Clark – Graphic design
31. Wellbeing: Summary
• Burnout is common & important
(Psychological/Emotional/Social/Physical impairment)
– Often under-recognized due to “Stigma”
– Prevention practice is often too little, too late
• Wellbeing Strategy knowing thyself
– Personal needs/ limits
– Creating personal practices / strategies
• Enlisting Help
• Find what works & practice regularly
Prevention is better than the cure!
32. Last but not least….
Take a break –but never give up!